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患者,男,45岁。因右侧腰痛1年余,渐加重伴上腹胀痛,纳差半月就诊。曾在当地CT检查:肝右叶后段原发性肝癌,未予治疗。本院CT提示:肝右后叶占位,考虑为纤维板层型肝癌。B超检查:肝右后叶见7.3cm×7.1cm椭圆形低回声包块,边界清楚,内部呈细小均匀一致点状回声,其后壁上见2.0cm×1.0cm增强光团伴声影。超声提示:肝右后叶占位性病变。(1)肝癌?(2)肝脓肿?(图1)。
Patient, male, 45 years old. Due to the right side of the back pain for more than 1 year, gradually increased with abdominal pain, anorexia for half treatment. Have a local CT examination: the right hepatic lobe of the primary liver cancer, untreated. Our hospital CT prompt: occupying the right posterior lobe of the liver, considered as fibrosis lamina hepatocellular carcinoma. B-ultrasound: see the right posterior lobe 7.3cm × 7.1cm oval hypoechoic mass, the boundary is clear, the internal was small and uniform point echo, the rear wall to see 2.0cm × 1.0cm enhanced light group with sound shadow. Ultrasound Tip: Posterior lesion of the liver lesions. (1) liver cancer? (2) liver abscess? (Figure 1).